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PID outpatient treatment — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)PID outpatient treatmentUSMLE Step 3

A 24-year-old woman has lower abdominal pain, cervical motion tenderness, and mucopurulent cervical discharge. Pregnancy test is negative. Temperature is 37.9°C and she can tolerate oral intake. There is no tubo-ovarian abscess on ultrasound. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Treat empirically for pelvic inflammatory disease as an outpatient

PID is a clinical diagnosis and should be treated promptly; mild to moderate disease can be managed outpatient with broad STI coverage.

Reference: CDC Sexually Transmitted Infections Treatment Guidelines